1. Pop-up Alert

SystmOne have published a nationwide pop-up following the updated MHRA alert. This alert will pop-up in the following circumstances:

  • When a topiramate medicines is prescribed as an acute or repeat
  • When a repeat template for topiramate medicine is issued
  • When a patient who has a current repeat topiramate medicine prescription record is retrieved



2. Monitoring Template

Ardens has a 'Topiramate Monitoring' template to assist with drug monitoring and counselling. This can be accessed by either clicking on the Red Caution Patient Status Alert under the patients demographics (hoovering over the icon will tell you the drug name if there is more than one red caution alert on the patients home screen).  Double clicking on the icon or clicking the Action button on the home screen will open the below Topiramate Monitoring template.  


You can also access the drug monitoring template through Auto consultations > Ardens Monitoring J to Z > Topiramate. The template has links to the MHRA pregnancy advice leaflet and alert card, and can be used to record contraception and pregnancy advice. The annual risk acknowledgement form links have been included on the resources page as well as the patient Pregnancy Prevention guides.





3.  Reports

Ardens reports can assist with reviewing female patients of childbearing potential on Topiramate. To find the reports go to Clinical Reporting > Ardens > Prescribing > Alerts  > Neurology. Here you can run the reports and then review the patients' record.


Currently, there isn't a SNOMED code specific for the annual risk awareness form (ARAF) for Topiramate, so until this is available it is not possible to create a report for this.



4.  Status Alert

Ardens have a patient status alert which will put a !! icon in the patient’s demographic box if there are any outstanding medication review items which need to be reviewed including topiramate pregnancy advice. Double clicking on the alert will launch the 'Drug Review Required' template which will list what needs to be reviewed. Clicking on the 'Drug Specific Template' will then launch the 'Topiramate Monitoring' template.